PRN Registered Nurse

Heartland Hospice•Raleigh, NC

About The Position

The PRN Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary contact, delivering and documenting skilled care in patients’ homes or institutional settings, assessing patient needs, managing symptoms, and coordinating individualized care with an interdisciplinary team. The role also includes patient and caregiver education, emotional support, timely communication of changes in condition, and maintaining accurate clinical records in accordance with regulatory and organizational standards. The position involves work in patients’ homes, institutional settings, and an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position. The employee must maintain transportation for work and meet applicable state-specific requirements.

Requirements

Registered Nurse.
At least one year of RN experience in acute care hospital, oncology, long-term care, hospice, or home health; school internships and clinical hours may be considered in individual cases.
Current license to practice nursing in the state of requested employment.
CPR certification.
Current automobile insurance and a valid driver’s license.
Must have and maintain transportation for work.
Knowledge of terminally ill patients and their families and an understanding of hospice and the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Excellent patient assessment skills and knowledge of general nursing practice.
Good oral and written communication skills, documentation, and program-management ability.
Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Sensitivity to end-of-life issues, tact in dealing with patients and families, and ability to support others in a crisis.
Flexibility to perform varied tasks and communicate effectively with people from all socioeconomic backgrounds.
Maturity, cooperation, and tact in working with coworkers and hospice team members.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive in-person and telephonic patient assessments and reassessments, including screenings, and educate patients, families, and caregivers.
Deliver skilled nursing interventions and symptom management aligned with each patient’s goals of care.
Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
Provide education on disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
Document timely clinical records, including assessment findings, physician orders, progress notes, and care plans.
Maintain effective working relationships with the interdisciplinary group and involve the team when appropriate to achieve desired outcomes.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
Guide patients and families through the hospice journey and provide emotional, physical, and spiritual support, including bereavement guidance.
Teach caregivers how to care for patients safely and confidently.
Support quality-improvement and scheduling initiatives.
Follow infection-control, regulatory, compliance, and organizational policy standards.

Benefits

Competitive pay.
401(k) with company match.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Full-time associates: medical, dental, and vision insurance.
Full-time associates: mileage reimbursement or fleet vehicle program.
Full-time associates: generous paid time off and seven paid holidays.
Full-time associates: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
Full-time associates: education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
Full-time associates: free continuing education units (CEUs).
Full-time associates: company-paid life and long-term disability insurance.
Full-time associates: voluntary pet, critical illness, accident, and long-term care benefits.